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320916 01/17/2018
9`{u �g9'F CITY OF CARMEL, INDIANA VENDOR: 372191 Q� I ONE CIVIC SQUARE ANDREA CASON CHECK AMOUNT: $*****'**41.43* =Q; CARMEL, INDIANA 46032 15104,DECLARATION DRIVE CHECK NUMBER: 320916 M«oN co WESTFIELD IN 46074 CHECK DATE: 01/W/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0330752805 41.43 OTHER EXPENSES VOUCHER NO. 173879 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 372191 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER CASON, ANDREA CITY OF CARMEL 15104 DECLARATION DR An invoice or bill to be properly itemized must show: kind of service,where performed, WESTFIELD, IN 46074 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 41.43 372191 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR CASON,ANDREA Terms Carmel Water Utility 15104 DECLARATION DR Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), WESTFIELD, IN 46074 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEP-r# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0330752805 01-4611-00 $41.43 and received except 1/11/2018 0330752805 $41.43 ' V I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer CCity of armel Utilities Account Number 0330752805 P.O. Box 109 Carmel, IN 46082-0109 Amount Due Customer Service Due©Date - - -- www.carmelutilities.com (317) 571-2442 Mon-Fri Sam-5pm Amount Due After Due Date ANDREA CASON Service Address 15104 DECLARATION DR 4017 ROLLING SPRINGS DR WESTFIELD, IN 46074 FINAL Service .• Meter Meter Readings • • Number • • PAYMENT RECEIVED, THANK YOU (41.43) 11/21/17 12/20/17 PREVIOUS BALANCE 100.28 LATE PENALTY ASSESSED (9.70) BAL TRNSFR TO LL#545 (132.01) 0 G LL 0